{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T01:48:47Z","timestamp":1781142527117,"version":"3.54.1"},"reference-count":79,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T00:00:00Z","timestamp":1634688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Hair disorders are one of the most common conditions within dermatology practice but, although new diagnostic tools and therapeutic options have arisen, the management of these patients still represents a major clinical challenge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed at gathering information and achieving consensus on relevant recommendations on the latest advances in alopecia, trichoscopy and hair dermocosmetics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Experts of the steering committee consulted the available evidence on trichology\u2010related areas from the past 5\u00a0years and formulated recommendations based on the evidence and their experience. A modified two\u2010round Delphi procedure was performed among 45 European dermatologists experts in trichology to consult their degree of agreement on twenty recommendations, using a 4\u2010point Likert scale. Consensus was defined as &gt;80% of participants scoring either 1 (totally agree) or 2 (agree).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the first round of the Delphi questionnaire, 75% of the recommendations reached consensus. Those that were not agreed upon were reformulated by the steering committee and voted again after an online meeting, where consensus was achieved in all recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>All recommendations reached consensus after the two\u2010round Delphi questionnaire and may be useful in clinical practice for dermatologists. The participants agreed that besides this consensus, further clinical studies are needed to assess the benefits of the emerging tools and treatments and to clarify the controversies that still exist in the field, aiming at improving patients' quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.17601","type":"journal-article","created":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T11:56:05Z","timestamp":1634817365000},"page":"3-11","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Current controversies in trichology: a European expert consensus statement"],"prefix":"10.1111","volume":"35","author":[{"given":"T.","family":"Meyer\u2010Gonzalez","sequence":"first","affiliation":[{"name":"Trichology Unit Dermatology Service Hospital Dr. Ga\u0301lvez Malaga Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9091-2772","authenticated-orcid":false,"given":"D.","family":"Bacqueville","sequence":"additional","affiliation":[{"name":"Pierre Fabre Laboratories Centre R&amp;D Pierre Fabre Toulouse Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7204-8626","authenticated-orcid":false,"given":"R.","family":"Grimalt","sequence":"additional","affiliation":[{"name":"Department of Dermatology Universitat Internacional de Catalunya Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Mengeaud","sequence":"additional","affiliation":[{"name":"Pierre Fabre Laboratories Centre R&amp;D Pierre Fabre Toulouse Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6537-9689","authenticated-orcid":false,"given":"B.M.","family":"Piraccini","sequence":"additional","affiliation":[{"name":"IRCCS Azienda Ospedaliero\u2010Universitaria di Bologna \u2010 Department of Experimental, Diagnostic and Specialty Medicine (DIMES) Alma Mater Studiorum University of Bologna Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8308-1023","authenticated-orcid":false,"given":"L.","family":"Rudnicka","sequence":"additional","affiliation":[{"name":"Department of Dermatology Medical University of Warsaw Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6315-5462","authenticated-orcid":false,"given":"D.","family":"Saceda\u2010Corralo","sequence":"additional","affiliation":[{"name":"Trichology Unit #TricoHRC Research Group Dermatology Service IRYCIS Ramon y Cajal Hospital University of Alcala Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Vogt","sequence":"additional","affiliation":[{"name":"Clinical Research Center for Hair and Skin Science Department of Dermatology and Allergy Charite\u0301\u2013Universit\u00e4tsmedizin Berlin Corporate Member of Freie Universit\u00e4t Berlin and Humboldt\u2010Universit\u00e4t zu Berlin Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Trichology Experts Network Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2773-7494","authenticated-orcid":false,"given":"S.","family":"Vano\u2010Galvan","sequence":"additional","affiliation":[{"name":"Trichology Unit #TricoHRC Research Group Dermatology Service IRYCIS Ramon y Cajal Hospital University of Alcala Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16082"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13555-020-00448-x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.04.054"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2020.11.035"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.11775.1"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2020.04.026"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2021.02.054"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2020.03.034"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/dth.13096"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2020.04.054"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2020.09.093"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2018.05.029"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2020.06.026"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1159\/000492539"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.05.031"},{"key":"e_1_2_8_17_1","first-page":"1235","article-title":"Vitamin and mineral deficiencies in patients with telogen effluvium: a retrospective cross\u2010sectional study","volume":"15","author":"Cheung EJ","year":"2016","journal-title":"J Drugs Dermatol"},{"key":"e_1_2_8_18_1","first-page":"507","article-title":"Low iron stores: a risk factor for excessive hair loss in non\u2010menopausal women","volume":"17","author":"Deloche C","year":"2007","journal-title":"Eur J Dermatol"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2013.28.6.934"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1159\/000346698"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.14982"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.2147\/CCID.S173082"},{"key":"e_1_2_8_23_1","first-page":"577","article-title":"Vitamin D status in scarring and non\u2010scarring alopecia","volume":"18","author":"Conic RRZ","year":"2018","journal-title":"J Am Acad Dermatol"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1159\/000481141"},{"key":"e_1_2_8_25_1","first-page":"51","article-title":"A proprietary herbal extract against hair loss in androgenetic alopecia and telogen effluvium: a placebo\u2010controlled, single\u2010blind, clinical\u2010instrumental study","volume":"27","author":"Pekmezci E","year":"2018","journal-title":"Acta Dermatovenerol Alp Pannonica Adriat"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.3892\/mmr.2015.3717"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/ics.12521"},{"issue":"1","key":"e_1_2_8_28_1","first-page":"AB113","article-title":"Efficacy and safety of oral minoxidil 5 mg daily during 24\u2010week treatment in male androgenetic alopecia","volume":"72","author":"Saoraya Lueangarun RP","year":"2015","journal-title":"J Am Acad Dermatol"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.08.084"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2009.09.018"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2012.04535.x"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ad.2018.10.030"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijt.ijt_73_16"},{"key":"e_1_2_8_34_1","first-page":"137","article-title":"Mesotherapy using dutasteride\u2010containing solution in male pattern hair loss: a controlled pilot study","volume":"20","author":"Abdallah M","year":"2009","journal-title":"J Pan Arab Leag Dermatol"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.7241\/ourd.20131.08"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.5114\/ceji.2020.101264"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16727"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16936"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00403-019-01929-6"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0062935"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.09.085"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/ced.13785"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.15311"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.14535"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.10.032"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms21207794"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1159\/000510525"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13555-019-00350-1"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.15900"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.05.053"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.5826\/dpc.0904a05"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13061"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2019.12.056"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdcr.2020.02.036"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2018.4093"},{"issue":"11","key":"e_1_2_8_56_1","first-page":"1140","article-title":"Novel treatment using low\u2010dose naltrexone for lichen planopilaris","volume":"16","author":"Strazzulla LC","year":"2017","journal-title":"J Drugs Dermatol"},{"key":"e_1_2_8_57_1","doi-asserted-by":"publisher","DOI":"10.1080\/09546634.2020.1774488"},{"key":"e_1_2_8_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/bph.13394"},{"key":"e_1_2_8_59_1","doi-asserted-by":"publisher","DOI":"10.3889\/oamjms.2019.056"},{"key":"e_1_2_8_60_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0032847"},{"key":"e_1_2_8_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.15885"},{"key":"e_1_2_8_62_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijt.ijt_76_19"},{"key":"e_1_2_8_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2019.01.011"},{"key":"e_1_2_8_64_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41522-017-0022-5"},{"key":"e_1_2_8_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.devcel.2020.03.019"},{"key":"e_1_2_8_66_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.aad4395"},{"key":"e_1_2_8_67_1","doi-asserted-by":"publisher","DOI":"10.1080\/15384101.2016.1156269"},{"key":"e_1_2_8_68_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2020.11.009"},{"key":"e_1_2_8_69_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.12129"},{"key":"e_1_2_8_70_1","doi-asserted-by":"publisher","DOI":"10.1111\/ics.12489"},{"key":"e_1_2_8_71_1","doi-asserted-by":"publisher","DOI":"10.1111\/exd.13669"},{"key":"e_1_2_8_72_1","doi-asserted-by":"publisher","DOI":"10.1002\/sctm.19-0301"},{"key":"e_1_2_8_73_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-018-07579-y"},{"key":"e_1_2_8_74_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-020-2352-3"},{"key":"e_1_2_8_75_1","doi-asserted-by":"publisher","DOI":"10.1080\/14786419.2016.1154053"},{"key":"e_1_2_8_76_1","doi-asserted-by":"publisher","DOI":"10.1159\/000508228"},{"key":"e_1_2_8_77_1","doi-asserted-by":"publisher","DOI":"10.1111\/ics.12554"},{"key":"e_1_2_8_78_1","doi-asserted-by":"publisher","DOI":"10.5021\/ad.2013.25.4.405"},{"key":"e_1_2_8_79_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7753.167465"},{"key":"e_1_2_8_80_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/6279108"}],"container-title":["Journal of the European Academy of Dermatology and Venereology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdv.17601","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jdv.17601","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdv.17601","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T09:37:53Z","timestamp":1693215473000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jdv.17601"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,20]]},"references-count":79,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1111\/jdv.17601"],"URL":"https:\/\/doi.org\/10.1111\/jdv.17601","archive":["Portico"],"relation":{},"ISSN":["0926-9959","1468-3083"],"issn-type":[{"value":"0926-9959","type":"print"},{"value":"1468-3083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,20]]},"assertion":[{"value":"2021-06-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}